Organization Active NPI

Constance L. Bauer, LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1457532343
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149009945 Issued in IL
Legal business name
CONSTANCE L. BAUER, LLC
Practice address
180 N Michigan Ave
Suite 605
Chicago, IL 60601-7401
Phone
(708) 848-0491
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Constance Linn Bauer, LCSW, JD
Title
Managing Member
Phone
(708) 848-0491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149009945 IL Primary

Addresses

Primary practice location

180 N Michigan Ave
Suite 605
Chicago, IL 60601-7401

Mailing address

PO Box 5888
River Forest, IL 60305-5888
Phone (708) 848-0491

Other identifiers 1

IdentifierTypeStateIssuer
216943OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

180 N Michigan Ave
Ste 605
Chicago, IL 60601
Phone (312) 201-0840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1457532343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5888",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603055888",
            "telephone_number": "708-848-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "708-848-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE L. BAUER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "708-848-0491",
        "authorized_official_credential": "LCSW, JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149009945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "216943",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.